Ngaba ukhe ufumane ukuvuza komchamo ongazikhethelanga? Oku kubizwa ngokuba yi-Functional Incontinence! Masithethe ngako noNirogi Lanka.

Ngaba ngamanye amaxesha ufumana ukuvuza okuncinci komchamo ngaphambi kokuba ufike kwindlu yangasese? Ngokuqinisekileyo awuwedwa; nangona le yingxaki eqhelekileyo abaninzi abakufumanisa kunzima ukuyixoxa, nceda wazi ukuba akukho mfuneko yokuba neentloni. Ngokwezonyango, sibhekisa koku `(Ukungasebenzi kakuhle kokulawula ukuzala)` . Ngamafutshane, oku kuthetha ukuba ingxaki ayibangelwa sisinyi sakho, kodwa kukho ezinye izinto ezenza kube nzima kuwe ukufikelela kwindlu yangasese ngexesha. Apha eNirogi Lanka, sifuna ukukunceda uqonde oku ngcono, ngoko makhe sijonge iinkcukacha ngokusondeleyo.

Yintoni i-Functional Incontinence?

Ngamafutshane, ukungakwazi ukuzibamba komzimba kwenzeka xa ulahlekelwa lulawulo lwesinyi sakho, nto leyo ekhokelela ekuphumeni komchamo ngokungazi. Into ebalulekileyo ekufuneka uyiqonde kukuba oku akubangelwa yingxaki ekwindlela yakho yomchamo. Endaweni yoko, kwenzeka ngenxa yokuba imeko yomzimba okanye yengqondo engaphantsi ikwenza kube nzima ukuba ufikelele kwindlu yangasese ngexesha okanye ukuqaphela umnqweno wokuchama. Cinga ngale ndlela: ungaziva unqwenela ukuya, kodwa ngenxa yemiqobo okanye imiqathango yangaphandle, awukwazi ukufika kwindlu yangasese, nto leyo ebangela ingozi.

Le meko ngamanye amaxesha ibizwa ngokuba yi-Functional Urinary Incontinence; omabini la magama achaza imeko efanayo yeklinikhi.

Ixhaphake kangakanani le meko?

Ngokubanzi, ukungakwazi ukuzibamba ngomchamo kuxhaphake kakhulu kunokuba abantu abaninzi becinga. Iingxelo zibonisa ukuba phantse abantu abazizigidi ezingama-30 kumazwe afana ne-United States bajongene nohlobo oluthile lokungakwazi ukuzibamba ngomchamo. Ungacinga ukuba abantu abaninzi eSri Lanka nabo bajongene nale mingeni imihla ngemihla. Ukungakwazi ukuzibamba ngomchamo lolunye uhlobo lwale ngxaki ibanzi. Nceda wazi ukuba awuwedwa kule nto; inani elikhulu labantu okwangoku lijongene nale meko ifanayo.

Zithini iimpawu zokungakwazi ukuzibamba?

Ungazibona njani ukuba unengxaki yokungakwazi ukuzibamba? Qaphela ezi mpawu zilandelayo:

• Ukuvuza rhoqo komchamo omncinci ngokunganyanzelekanga.
• Ukukhupha isinyi sakho sonke ngengozi ngamanye amaxesha ngaphandle kwesilumkiso.
• Ukungakwazi ukubamba umchamo wakho ude ufike kwindlu yangasese.
• Ukubona ivumba lomchamokwiimpahla zakho okanye kwindawo ohlala kuyo.

Ukuba uyazibona naziphi na ezi mpawu, kubalulekile ukuzinika ingqalelo uze uxoxe ngazo nomboneleli wakho wezempilo eNirogi Lanka.

Yintoni ebangela ukungalawuleki kokusebenza komzimba?

Kukho izinto ezininzi ezinokubangela ukungalawuleki kokusebenza:

• Iingxaki zokuqonda: Iimeko ezifana ne-dementia (ukulahlekelwa yinkumbulo okuqhubekayo), i-delirium (imeko yokudideka kwengqondo ngequbuliso), okanye ukukhubazeka kwengqondo kunokuchaphazela amandla engqondo yakho okujongana nesidingo sokuchama okanye ukufumana indlu yangasese.
• Iingxaki zeNeural: Iimeko ezifana neMultiple Sclerosis (MS), isifo sikaParkinson, okanye isifo sohlangothi zinokuphazamisa imiqondiso esuka engqondweni yakho iye kwisinyi sakho.
• Imida Yomzimba: Iimeko ezifana ne-arthritis zinokwenza kube nzima ukushukuma, ukuphatha amaqhosha, ii-zipper, okanye impahla ngokukhawuleza ukuze kufikelelwe kwindlu yangasese ngexesha elifanelekileyo.
• Ubuthathaka bomgangatho wePelvic: Izihlunu ezibuthathaka zinokwenza kube nzima ngokomzimba ukubamba umchamo.
• Imiqobo yokusingqongileyo: Imingeni efana nokuhamba ngezinyuko, ukukhanya okungekho kakuhle, okanye iindawo ezixineneyo apho izindlu zangasese zingafikelelekiyo zinokubangela iingozi.
• Iingxaki zeZicwili: Ukucutheka kwezicubu zangasese okanye usulelo olufumaneka kwindawo ethile.
• Amayeza: Amayeza athile, anjengeepilisi zokuthomalalisa okanye zokulala, anokukwenza ungaqondi ukuba ufuna ukuyeka, ngelixa amayeza okukhupha umchamo enyusa imveliso yomchamo.
• Izifo zoMchamo (UTIs): Sisifo esiqhelekileyo esifuna unyango.
• Ukuqhinwa: Ukuqhinwa okukhulu kunokubangela uxinzelelo kwisinyi, nto leyo ekhokelela ekungakwazini ukuzibamba.

"Njengoko ubona, zininzi izizathu ezinokubakho; ayisoloko iyinto enye edlala indima."

Ngubani osengozini enkulu yokungakwazi ukuzibamba ngenxa yokungasebenzi kakuhle kwesisu?

Nangona nabani na enokuhlangabezana noku, umngcipheko wakho unokuba phezulu ukuba unesifo sengqondo okanye semithambo-luvo, unesifo samathambo, uthatha amayeza afana ne-diuretics okanye i-sedative, okanye uneminyaka engaphezu kwama-65 ubudala. Ukuba awusebenzi ngokwasemzimbeni okanye uhlala kwiziko lokhathalelo, usenokuba sengozini enkulu.

Ifunyanwa njani ingxaki yokungakwazi ukuzibamba emzimbeni?

Ukuba ukrokrela ukuba unale mpawu, nceda udibane nogqirha. Ugqirha wakho uza kukwenza uvavanyo olupheleleyo lomzimba aze akubuze imibuzo eliqela ukuze aqonde imeko yakho ngcono.

• Ngaba okwangoku unyangwa ezinye izifo?
• Ithini indlela odla ngayo? Utya kwaye usela malini yonke imihla?
• Usela amanzi angakanani ngosuku, kwaye zeziphi ezinye iintlobo zolwelo oziselayo?
• Ngaba usela utywala okanye i-caffeine (iti, ikofu)?
• Uzilolonga kangakanani, kwaye loluphi uhlobo lwemisebenzi yomzimba oyenzayo?
• Ngaba unengxaki yokuhambahamba okanye ukuhambahamba kwindawo okuyo?

Kubaluleke kakhulu ukuphendula le mibuzo ngokunyaniseka , kuba oku kuvumela ugqirha wakho ukuba ayiqonde kakuhle imeko yakho.

Luhlobo luni lovavanyo oluza kwenziwa?

Ugqirha wakho unokuyalela uvavanyo oluthile ukuze abone unobangela wemeko yakho.

• Uhlalutyo lomchamo : Kolu vavanyo, kuhlolwa isampulu yomchamo wakho ukuze kuhlolwe usulelo okanye ezinye izinto ezingaqhelekanga.
• Uvavanyo lokungasebenzi kakuhle komgangatho we-pelvic : Olu vavanyo luvavanya indlela esebenza kakuhle ngayo imisipha yakho yomgangatho we-pelvic kwaye luvavanya amandla ayo iyonke.
• Uvavanyo lwe-Urodynamic : Olu luvavanyo olupheleleyo ngakumbi. Luhlola indlela esebenza ngayo i-bladder yakho kunye nemithambo-luvo kunye nemisipha yayo, kulinganisa isantya sokuhamba komchamo , kunye noxinzelelo ngaphakathi nangaphandle kwe-bladder.

Kwezinye iimeko, ugqirha wakho unokukuthumela kwi -urologist (ingcali kwiinkqubo zomchamo nezokuzala) okanye kwi -urologist (ingcali egxile kwizifo zomgangatho we-pelvic kubafazi).

Ungakunciphisa njani ukungakwazi ukuzibamba ngenxa yokusebenza?

Ngoku, makhe sixoxe ngendlela yokunciphisa okanye yokulawula ukungakwazi ukuzibamba. Iindlela zonyango zixhomekeke ngokupheleleyo kwisizathu esiyintloko.

Umzekelo, ukuba une-arthritis eyenza kube nzima ukukhulula impahla, ukunxiba impahla ene-elastic waistbands okanye i-Velcro closures kunokuba luncedo kakhulu. Ukuba une-UTI (usulelo lomchamo), ugqirha wakho uya kukunika amayeza okubulala iintsholongwane . Ukuba amayeza akho angoku anegalelo kule ngxaki, thetha nogqirha wakho ukuze uhlole ezinye iindlela zonyango.

Ukongeza, la maqhinga alandelayo anokunceda:

• Iipads zokungakwazi ukuzibamba okanye iimpahla zangaphantsi : Ezi ziyafumaneka kwiikhemesti. Iimpawu ezifana neDepends® zithandwa kakhulu. Ukusebenzisa ezi zinto kunokunceda ukuthintela impahla ukuba ingamanzi kwaye kunciphise nakuphi na ukungonwabi okanye iintloni.
• Uqeqesho lwesinyi : Oku kwaziwa ngokuba kukukhupha isinyi ngexesha elifanelekileyo , oku kuquka ukuya kwindlu yangasese ngamaxesha amiselweyo (umz., qho emva kweeyure ezimbini), nokuba awuziva umnqweno. Oku kunceda ukugcina isinyi sakho singenanto ngaphambi kokuba sigcwale. Ngokuhamba kwexesha, unokukwazi ukwandisa kancinci kancinci amaxesha phakathi kwezi hambo.
• I-catheter yomchamo : Kwiimeko ezinzima kakhulu, ugqirha wakho unokucebisa i-catheter yomchamo yexeshana okanye elide. Oku kubandakanya ukufaka ityhubhu encinci, eguquguqukayo nge-urethra iye kwisinyi ukuze kuphume umchamo kwingxowa yokuqokelela.
• I-catheter yekhondom : Olu lukhetho lwamadoda, apho isixhobo esifana nekhondom sinxitywa phezu kwelungu lobudoda, siqhagamshelwe kwityhubhu ephumayo kwingxowa yokuqokelela.
• Unyango lomzimba phantsi kwepelvic : Ingcali ingakufundisa imithambo (efana neKegel exercises ) yokuqinisa imisipha yakho phantsi kwepelvic. Ukuqinisa le misipha kunokukunceda ubambe umchamo wakho ixesha elide ude ufike kwigumbi langasese.

Xa usekhaya, gcina indlela eya kwindlu yangasese icacile.Gcina iingcango zivulekile kwaye ususe izinto ezingacocekanga phantsi ukuze unciphise umngcipheko wokukhubeka okanye ukutyibilika. Ukuba umbono wakho awuboni kakuhle, faka izibane ezongezelelweyo ekhayeni lakho, okanye ugcine ithotshi encinci kufutshane. Xa ungaphandle, ngumkhwa omhle ukuchonga indawo yezindlu zangasese ngaphambi kokuba uzive ufuna ukuyisebenzisa.

Ngaba ukungakwazi ukuzibamba emzimbeni kunokuthintelwa?

Nangona singenakusoloko sithintela izizathu ezisisiseko zokungakwazi ukuzibamba—ezifana neemeko ezithile zemisipha, zemithambo-luvo, okanye zengqondo—okanye siyeke ukuqala kweemeko ezifana ne-dementia, ungagxila ekunciphiseni izinto ezikubangela umngcipheko. Umzekelo, ukugcina indlela yokuphila esempilweni kunye nokuhlala usebenza ngokwasemzimbeni ngamanyathelo amahle okufikelela kwimpilo-ntle iyonke.

Ndingalindela ntoni ukuba ndinengxaki yokungakwazi ukuzibamba?

Ukuba ukungakwazi ukuzibamba kwakho ukusebenza kunxulunyaniswa nesifo esinganyangekiyo, esifana nesifo sikaParkinson, kunokufuneka ulawule le ngxaki ixesha elide. Nangona kunjalo, oku akuthethi ukuba kufuneka ubandezeleke. Kubalulekile ukusebenzisana ngokusondeleyo nogqirha wakho ukuze ulawule ngokufanelekileyo iimpawu zakho. Kukho amaqhinga amaninzi aqinisekisiweyo afumanekayo okukunceda ugcine umgangatho wobomi bakho.

Ndingazinyamekela njani?

Ukuba uphila nokungakwazi ukuzibamba, la manyathelo anokukunceda uzikhathalele:

• Gcina idayari yesinyi : Bhala phantsi ubungakanani bolwelo oluselayo, iintlobo zokutya neziselo onazo (ingakumbi i-caffeine kunye nezinto eziqholiweyo), amaxesha kunye nexesha lokuchama kwakho, ubude besithuba ngasinye, kunye nazo naziphi na izihlandlo zokuvuza. Olu lwazi lubaluleke kakhulu kwi- Bladder Training kwaye lunceda ugqirha wakho ukuba aqonde kakuhle imeko yakho.
• Ziphephe izinto ezibangela ukucaphuka kwesinyi : I-caffeine (efumaneka kwiti, kwikofu, nakwitshokholethi), utywala, ii-carbonated sodas, ukutya okuneziqholo, kunye neejusi ezine-asidi ezifana netamatato, ilayimu, okanye iorenji zinokucaphukisa isinyi sakho kwaye zonyuse umnqweno wokuchama. Zama ukunciphisa ezi zinto ukuze ubone ukuba uyayibona na inkqubela.
• Gcina ubunzima obusempilweni : Ubunzima besisu obugqithisileyo bunokubangela uxinzelelo olungeyomfuneko kwisinyi sakho. Ukunciphisa ubunzima obuncinci kunokunceda ekunciphiseni olu xinzelelo.
• Hamba rhoqo : Ukuhamba kugcina umzimba wakho usebenza kwaye kukunceda uhlale ulungelelene ngakumbi nemiqondiso yesinyi sakho kunye nesidingo sokufumana izixhobo. Zama ukuhamba ubuncinane imizuzu engama-30 ngosuku.
• Yeka ukutshaya : Ukutshaya kubangela ukukhohlela okungapheliyo, okunokukhokelela ekuvuzeni ngokungeyomfuneko, kwaye ngokubanzi kuyingozi kwimpilo yesinyi. Ukuyeka kungaba linyathelo elihle lokulawula le meko.

Ndifanele ndimbone nini umboneleli wezempilo wam?

Ukuba ufumana iimpawu zokungakwazi ukuzibamba —ezifana nokuvuza ngaphambi kokuba ufike kwigumbi langasese —kungcono ukubonana nomboneleli wezempilo kwangoko xa ezi mpawu zibonakala. Nceda ungabi neentloni okanye woyike; ugqirha wakho udibana nale meko rhoqo. Ukuchonga unobangela linyathelo lokuqala lolawulo olusebenzayo kunye nokubuyisela ulawulo lomgangatho wobomi bakho.

Imibuzo omele uyibuze ugqirha wakho

Xa undwendwela ugqirha wakho, cinga ngokubuza le mibuzo:

• Yintoni imbangela eyintloko yokungakwazi kwam ukuzibamba (Functional Incontinence)?
• Zeziphi iimvavanyo zokuxilonga eziza kwenziwa ukuqinisekisa oku?
• Ziza kufumaneka nini iziphumo zovavanyo ?
• Ngaba kukho imisebenzi endifanele ndiyiphephe?
• Ngaba kukho ukutya okanye iziselo ezithile endifanele ndizinciphise?
• Ndingayilawula njani le nto ngempumelelo ekhaya?
• Ndingayilawula njani le nto xa ndingekho ekhaya?
• Ngaba kukho ezinye iimpawu zesilumkiso endifanele ndiziqaphele?

Ukubuza le mibuzo kuya kukunceda uqonde ngcono uhambo lwakho lwempilo.

Ngaba kukho ezinye iintlobo ze-Urinary Incontinence?

Ewe, i-Functional Incontinence lolunye uhlobo. Nazi ezinye ezimbalwa ekufuneka uzazi:

• Ukungakwazi ukuzibamba ngokugqithisileyo : Oku kwenzeka xa isinyi sakho sigcwele kakhulu kwaye ungakwazi ukusikhupha ngokupheleleyo. Isinyi siyaphuphuma, nto leyo ekhokelela ekuvuzeni rhoqo, nokuba awuziva unqwenela ukuhamba.
• Ukungakwazi ukuzibamba ngenxa yoxinzelelo : Oku kwenzeka xa uxinzelelo lomzimba—njengokukhwehlela, ukuhleka, ukuthimla, ukuphakamisa izinto ezinzima, okanye ukuzilolonga—lubangela ukuba umchamo uvuza ngaphandle kokuzithandela.
• Ukunyanzelisa ukungakwazi ukuzibamba : Oku kubonakala ngokufuna ukuchama ngequbuliso, ngamandla, nangokungalawulekiyo, nto leyo edla ngokwenza kube nzima ukufikelela kwindlu yangasese ngexesha.

Ezi zezona ntlobo ziphambili; abanye abantu banokufumana indibaniselwano yezi meko.

Umyalezo Wokuya Ekhaya

Ukungakwazi ukuzibamba emzimbeni (functional incontinence) kunokuchaphazela kakhulu ubomi bakho bemihla ngemihla. Nangona kuqheleke kakhulu kunokuba abantu becinga, kuyaqondakala ukuba ungaziva uneentloni okanye ungathandabuzi ukuthetha ngako. Usenokuba unciphisa imisebenzi yakho yokuzonwabisa ngenxa yokoyika ukungafumani indlu yangasese ngexesha.

Khumbula, awuwedwa kule nto.

• Ukungakwazi ukuzibamba kakuhle akuyongxaki yakho. Kungabangelwa zizinto ezahlukeneyo zomzimba okanye zengqondo.
• Inyathelo elibaluleke kakhulu kukubathetha ngokukhululekileyo nogqirha wakho ngaphandle koloyiko okanye iintloni.
• Xa unobangela ufunyenwe, kukho iindlela ezininzi ezisebenzayo zokulawula nokulawula le meko.
• Uhlengahlengiso olulula lwendlela yokuphila, imithambo ethile, kwaye, ukuba kuyimfuneko, unyango lunokukunceda uphile ubomi obuphumelelayo nobanelisayo.
• Kukho inkxaso ekhoyo. Funa ulwalathiso lobuchwephesha kwezonyango eNirogi Lanka.

Ukuba wena okanye umntu omaziyo uhlangabezana nezi mpawu, nceda uqhagamshelane nogqirha ukuze ufumane ingcebiso. Ngonyango olufanelekileyo, ungagcina umgangatho wobomi bakho uphezulu.

Iithegi: Ukungakwazi ukuzibamba, ukuvuza komchamo, ukulahlekelwa lulawulo lwesinyi, ukhathalelo lwabantu abadala, iimeko zemithambo-luvo, i-dementia